Challenges and Failures of Health Fairs and Community Screenings Introduction Health fairs are one of the most recognizable forms of community-based health promotion conducted in the United States. Health fairs are voluntary programs, which typically last a few days, and offer health education and medical screenings at little or no cost. Most fairs measure height, weight, blood pressure, vision, and anemia, while other popular tests include blood chemistry, oral screenings, podiatry exams, hearing tests, and glaucoma screenings. Though these fairs in theory may seem like a good idea, the medical literature has often viewed them with considerable skepticism.
For this reason, the USPSTF concluded that the evidence is insufficient to recommend for or against routine screening for gestational diabetes.
Discussions should include information about the uncertainty of benefits and harms as well as the frequency of positive screening test results. There are no existing interventions to prevent GDM from occurring in pregnancy.
However, some bodies have considered it important to screen pregnant women for GDM because these women are at increased risk for having infants with excessive birth weight and require operative delivery or infants with increased neonatal morbidity.
While the American Academy of Family Physicians AAFP recognizes that more studies are needed to unequivocally support the benefit of universal screening for GDM, it also identifies that universal screening for GDM at 24 to 28 weeks of gestation is recommended by many experts.
The recommendation is based on consensus, disease-oriented evidence, expert opinion, and case series Serlin and Lash, In support of the recommendation, AAFP also notes that most obstetric practices employ this strategy.
Its recommendation is based on limited or inconsistent scientific evidence. Page 87 Share Cite Suggested Citation: Clinical Preventive Services for Women: The National Academies Press.
Randomized trials have established the benefits of interventions to prevent or delay diabetes Knowler et al. However, no randomized control trial has established the benefits of early detection of diabetes.
The Diabetes Control and Complications Trial DCCTan almost year study sponsored by the National Institutes of Health found that maintaining blood glucose levels as close to normal as possible slowed the development and progression of the eye, kidney, and nerve damage caused by diabetes Genuth, It also found that any sustained lowering of blood glucose was beneficial.
The most significant side effect of intensive treatment in the DCCT was an increase in the risk for hypoglycemia, or low blood glucose, including episodes severe enough to require additional medical assistance Genuth, The Diabetes Prevention Program DPPanother intervention study, was designed to assess whether modest weight reduction through dietary changes and increased physical activity or treatment with oral diabetes medication could prevent or delay the onset of type 2 diabetes.
Results from this study showed that participants who were pre-diabetic could sharply reduce their risk of developing diabetes with a modest loss of weight through dietary changes and increased physical activity The Diabetes Prevention Program Research Group, Taking oral diabetes medication could also reduce risk, although less dramatically.
Since the conclusion of the DPP study, additional data analyses continue to provide important insights into the value of lifestyle changes in helping people prevent type 2 diabetes and its complications.
One analysis found that DPP participants with specific genetic profiles had a significantly increased risk of developing diabetes and selective responses to specific interventions Florez et al.
It is possible that subgroups of individuals will not respond well to standard interventions or that some responders may respond very well to a particular treatment on the basis of their genetic profile. Nutritional support and exercise also can have a significant impact on the incidence and severity of diabetes.
The DPP found that just 30 minutes of moderate physical activity a day, coupled with a 5 to 10 percent reduction in body weight, produced a 58 percent reduction in the incidence of diabetes Knowler et al.
The current evidence of the efficacy of obesity prevention and interven- Page 88 Share Cite Suggested Citation: Some studies showed a positive impact of the intervention on BMI or weight status, but there is too much heterogeneity in terms of study design, theoretical underpinning, and target population to be able to draw firm conclusions about which intervention approaches are more effective than others Lemmens et al.
More research is urgently needed to extend the body of evidence in this area of prevention.
The only intervention for obesity that has been shown to have great benefit for preventing other complications of obesity is surgery Valezi et al. Gastric bypass surgery has been shown to ameliorate diabetes Gill et al. However, this is an invasive surgical intervention, and an estimated 5 percent or more of people have serious or life-threatening complications after gastric bypass surgery Picot et al.
Identified Gaps The primary gaps in preventive services not already addressed by the provisions set forth in the ACA reviewed in this section were screening for diabetes in all women and screening for gestational diabetes among pregnant women, especially those identified to be at high risk for developing gestational diabetes.
The committee found insufficient evidence to support screening for diabetes in all women.We will write a custom essay sample on Health history and screening of an adolescent or youg adult client specifically for you. We will write a custom essay sample on Health history and screening of an adolescent or youg adult client specifically for you.
Health (), Care (60) send me this sample. Health Screening And History Of An Adolescent Or Young Adult Client Essay Paper. In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following.
Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.
A cost-effectiveness analysis of screening adolescent males for Chlamydia trachomatis upon entry to detention in Central Massachusetts found that universal screening with a nucleic acid amplification test was cost-effective.
screening adolescents for SUDs. Problem-Oriented Screening Instrument for Teenagers (POSIT) - a item yes-or-no self-report questionnaire that takes 20 to 30 minutes to complete. It is designed to screen for problems in adolescents aged 12 to 19 in 10 areas: substance use and abuse, physical health .
Health History Screening Adolescent Essay. Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.
Submit this resource with your assignment to the instructor by the end of Module 3.